http://journals.ddu.edu.et/index.php/HJHMS <p>The HJHMS is a peer-reviewed, an open access journal with the goal of advancing Medical and Health Science disciplines with rigorously reviewed research outputs, reaching to wider community for building and transferring knowledge, and as a platform for scholar’s experience sharing. It covers and ranges to the broad fields of medical sciences and specialties, all fields of public health, nursing and midwifery sciences and applications, advancements and updates in the fields of medical laboratory technology, studies related to biomedical and allied sciences, pharmacologic studies, anaesthesiology, physiotherapy, mental health and psychiatric researches.</p> <p>The Harla Journal of Health and Medical Sciences is not limited to the fields and specialties listed above, rather widely open to all related fields of health sciences which can contribute to the advancement of knowledge, skill, technologies, methodologies or the art of science.</p> Dire Dawa University en-US Harla Journal of Health and Medical Science http://journals.ddu.edu.et/index.php/HJHMS/article/view/42 <div class="page" title="Page 1"> <div class="layoutArea"> <div class="column"> <p>Introduction: Tuberculosis is one of the leading causes of death from infectious disease worldwide, and it kills around 1.5 million people in a year. This study was identified treatment outcome of smear positive pulmonary tuberculosis and its associated factors.</p> <p>Method: A retrospective medical record review of 1233 spear positive pulmonary tuberculosis patients registered from July 01/ 2010 to June 30/2013 in randomly selected six public health facilities were undertaken. Univariate, bivariate analysis, chi- square test and multivariable logistic analysis was conducted with consideration of P value &lt; 0.05 with 95% CI.</p> <p>Results: 1022 (83.0%) end with favorable treatment outcome, while 270 (17.0%) ends with unfavorable treatment outcome. In multivariable logistic regression, the patients who had no treatment supporter or contact person AOR=2.21 with 95% CI (1.58, 3.26), being treatment failure category were AOR=6.35 with 95% CI (2.51, 16.14) and sputum smear positive at end of 5th months were AOR=16.7 with 95% CI (11.21, 23.42).</p> <p>Conclusion: the following factors were identified as determinants of unfavorable treatment outcome: having no treatment supporter, treatment failure category and smear positive at end of 5thmonth. The tuberculosis patients should be supported during treatment and restrict monitoring and evaluation of patients during Directly Observed Treatment Short course (DOTS) were required.</p> </div> </div> </div> Hussen Mohammed Teklu Molie Befirdu Mulatu Bereket Tefera Abdurezak Umer kedir Abdella Yared Tekle Copyright (c) 2022 Harla Journals and Author(s) https://creativecommons.org/licenses/by-nc/4.0/ 2022-06-30 2022-06-30 1 1 1 12 10.20372/hjhms.v1i1.42 http://journals.ddu.edu.et/index.php/HJHMS/article/view/43 <div class="page" title="Page 1"> <div class="layoutArea"> <div class="column"> <p>Background: Antimicrobials are frequently prescribed therapeutic medications in hospitals and their resistance arises from the inappropriate use pattern of them that can cause diseases that are fatal. This study assessed the internal medicine department of Hawassa University Comprehensive Specialized Hospital in Hawassa, Ethiopia.</p> <p>Methods: An institution-based retrospective study was conducted using the World Health Organization indicators for antimicrobial use in the hospital by reviewing records in the internal medicine department from June 8, 2021 to July 7, 2022.</p> <p>Result: From a total of 252 medical records analyzed, 203 (80.55%) patients had at least one antimicrobial medication administered to them. Antimicrobials were prescribed to patients on average (2.15±1.2). The average duration of the antimicrobial therapy was (4.3±2.9) days. Antimicrobials prescribed by generic name were 331 (75.74%) and 98.63% of antimicrobials were prescribed from essential medication list. A total of 437 antimicrobials were prescribed for patients, with ceftriaxone and metronidazole being the most often prescribed with 130 (29.75%) and 94 (21.51%), respectively. Antimicrobial amount provided was significantly associated to the length of hospital stay (P &lt;0.001) and the type of diagnosis (P = 0.03).</p> <p>Conclusion: The present study finding showed that the internal medicine department uses antimicrobials frequently in a pattern that is above recommended use standard. It is necessary to implement multifaceted strategies to encourage reasonable antimicrobial prescription.</p> </div> </div> </div> Beyene Dereje Dejene Hailu Amare Megersa Copyright (c) 2022 Harla Journals and Author(s) https://creativecommons.org/licenses/by-nc/4.0/ 2022-06-30 2022-06-30 1 1 13 30 10.20372/hjhms.v1i1.43